﻿
<%@ Page Title="PostHD" Language="C#" MasterPageFile="~/Site.Master" AutoEventWireup="true" CodeBehind="PostHD.aspx.cs" Inherits="WebApplication2.FMTXPostHD"  EnableEventValidation = "false"%>


<asp:Content runat="server" ID="BodyContent" ContentPlaceHolderID="MainContent">
     <style type="text/css">
           .verticalLine {
        border-right: thin solid #C0C0C0;
         }
         hr {
             border-right: thin solid #C0C0C0;
             width : 100%
        }
     </style>


  <div>
    <asp:Label ID="lblPostAssess" runat="server" Font-Names="Calibri" Font-Size="Small" Font-Bold ="true" height ="10px"></asp:Label>
  </div>


    <div>
        <div id="Postcontent1" style =" width : 100%  ; height : 310px" >
             <hr />
        <div style="width : 33%; float : left ;height: 310px; margin-left:3%" class="verticalLine" >
             
            <div>
                <asp:Label ID="lblWeight" runat="server" Text="Weight" Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small" ></asp:Label>
                  <asp:TextBox ID="tbxweight" runat="server" Width="50px" Height="10px"></asp:TextBox>
               <asp:Label ID="lblkg" runat="server" Height="10px" Width="50px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
               <input type="checkbox" value="true" >
                 <asp:Label ID="lblUnfit" runat="server" Text="Unfit to weight" Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
            </div>
            <div>
                <asp:Label ID="lblweightloss" runat="server" Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                <asp:TextBox ID="tbxweightloss" runat="server" Width="50px" Height="10px"></asp:TextBox>
                <asp:Label ID="lblweightloggkg" runat="server"  Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
            </div>
            <div>
                <asp:Label ID="lblBP" runat="server" Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                <asp:TextBox ID="tbxbps" runat="server" Width="50px" Height="10px"></asp:TextBox>

            &nbsp;/
                <asp:TextBox ID="tbxbpd" runat="server" Width="50px" Height="10px"></asp:TextBox>
                <asp:DropDownList ID="ddlbp" runat="server"  Width="150px" Height="20px"></asp:DropDownList>
            </div>
            <div>
                <asp:Label ID="lblpulse" runat="server"  Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                <asp:TextBox ID="tbxPulse1" runat="server" Width="50px" Height="10px"></asp:TextBox>
                &nbsp;/
                <asp:TextBox ID="tbxpulse2" runat="server" Width="50px" Height="10px"></asp:TextBox>
                <input type="checkbox" value="true" >
                 <asp:Label ID="lblregular" runat="server"  Height="10px" Width="50px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                <input type="checkbox" value="true" >
                 <asp:Label ID="lblirregular" runat="server"  Height="10px" Width="50px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
            </div>
         
            <div>
                 <asp:Label ID="lblBPPulse" runat="server" Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                <asp:TextBox ID="tbxBPPulse1" runat="server" Width="50px" Height="10px"></asp:TextBox>

            &nbsp;/
                <asp:TextBox ID="tbxBPPulse2" runat="server" Width="50px" Height="10px"></asp:TextBox>
                
                <asp:DropDownList ID="ddlbppulse" runat="server" Width="150px" Height="20px"></asp:DropDownList>
                <asp:TextBox ID="tbxBPPulse4" runat="server" Width="20px" Height="10px"></asp:TextBox>
            </div>
            <div>
                <asp:Label ID="lblTemperature" runat="server" Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                <asp:TextBox ID="tbxTemperature" runat="server"  Width="50px" Height="10px"></asp:TextBox>
                 <asp:Label ID="lblRespiration" runat="server" Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small" style="margin-left:50px"></asp:Label>
                <asp:TextBox ID="tbxRespiration" runat="server"  Width="50px" Height="10px"></asp:TextBox>
            </div>
            <div>
                <asp:Label ID="lblBreathSounds" runat="server" Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                <input type="checkbox" value="true" >
                 <asp:Label ID="lblVesicular" runat="server"  Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                <input type="checkbox" value="true" >
                 <asp:Label ID="lblSbnormal" runat="server"  Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
            </div>
            <div>
                <asp:Label ID="lblEdema" runat="server" Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                <input type="checkbox" value="true" >
                 <asp:Label ID="lblAbsent" runat="server"  Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                <input type="checkbox" value="true" >
                 <asp:Label ID="lblPresent" runat="server"  Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
            </div>
             <div>
                <asp:Label ID="lblMentalStatus" runat="server" Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                <input type="checkbox" value="true" >
                 <asp:Label ID="lblOriented" runat="server"  Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                <input type="checkbox" value="true" >
                 <asp:Label ID="lblAbnormal" runat="server"  Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
            </div>
            <div>
                <asp:Label ID="lblpain" runat="server" Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                <input type="checkbox" value="true" >
                 <asp:Label ID="lblAbsentPain" runat="server"  Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                <input type="checkbox" value="true" >
                 <asp:Label ID="lblPresentPain" runat="server"  Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
            </div>
        
        </div>
         
        <div style="width:25%; float : left; height: 310px; margin-left:1%" class="verticalLine">
           
            <div>
                <asp:Label ID="lblFistula" runat="server"  Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
            </div>
           <div>
                <asp:Label ID="lblBruit" runat="server" Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                <input type="checkbox" value="true" >
                 <asp:Label ID="lblPresentBruit" runat="server"  Height="10px" Width="80px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                <input type="checkbox" value="true" >
                 <asp:Label ID="lblAbnormalBruit" runat="server"  Height="10px" Width="80px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
            </div>
             <div>
                <asp:Label ID="lblThrill" runat="server" Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                <input type="checkbox" value="true" >
                 <asp:Label ID="lblPresentThril" runat="server"  Height="10px" Width="80px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                <input type="checkbox" value="true" >
                 <asp:Label ID="lblAbnormalThrill" runat="server"  Height="10px" Width="80px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                 <br />
            </div>
            <div>
                 <br />
                <asp:Label ID="lblCathether" runat="server"  Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small" Font-Bold="true"></asp:Label>
            </div>
            <div>
                <br />
                <asp:Label ID="lblCareCompleted" runat="server" Height="10px" Width="150px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                <input type="checkbox" value="true" >
                 <asp:Label ID="lblCareYes" runat="server"  Height="10px" Width="50px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                <input type="checkbox" value="true" >
                 <asp:Label ID="lblCareNo" runat="server"  Height="10px" Width="50px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
            </div>
            <div>
                <asp:Label ID="lblInstillation" runat="server"  Height="10px" Width="150px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                <asp:DropDownList ID="ddlInstillation" runat="server" Height="20px" Width="150px"></asp:DropDownList>
            </div>
            <div>
                
                <asp:Label ID="lblArt" runat="server"  Height="10px" Width="150px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                <asp:TextBox ID="tbxSrt" runat="server"  Height="10px" Width="30px"></asp:TextBox>
                 <asp:Label ID="lblVen" runat="server"  Height="10px" Width="50px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                <asp:TextBox ID="tbxVen" runat="server"  Height="10px" Width="30px"></asp:TextBox>
                <asp:Label ID="lblInsML" runat="server" Text="Label"></asp:Label>
            </div>
            <div>
                <asp:Label ID="lblDressing" runat="server" Height="10px" Width="150px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                <input type="checkbox" value="true" >
                 <asp:Label ID="lblDressYes" runat="server"  Height="10px" Width="50px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                <input type="checkbox" value="true" >
                 <asp:Label ID="lblDressNo" runat="server"  Height="10px" Width="50px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
            </div>
            <div>
                 <asp:Label ID="lblDressingChanges" runat="server" Height="10px" Width="150px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                <asp:TextBox ID="tbxDressing" runat="server"  Height="10px" Width="50px"></asp:TextBox>
            </div>
          
        </div>
           
        <div style=" float : left; width: 25%; height: 310px; margin-left:1%" >
            
            <div>
                 <asp:Label ID="lblMobility" runat="server" Height="10px" Width="150px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                <asp:DropDownList ID="ddlMoblity" runat="server" Height="20px" Width="150px"></asp:DropDownList>
                <br />
            </div>
            <div>
                 <asp:Label ID="lblDischarge" runat="server" Height="10px" Width="150px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                <asp:DropDownList ID="ddlDischarge" runat="server" Height="20px" Width="150px"></asp:DropDownList>
                <br />
            </div>
           <div>
                 <asp:Label ID="lblResponsible" runat="server" Height="10px" Width="150px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                <asp:DropDownList ID="ddlResponse" runat="server" Height="20px" Width="150px"></asp:DropDownList>
               <br />
            </div>
            
            <div>
                <asp:Label ID="lblNotAHD" runat="server" Height="10px" Width="202px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                <input type="checkbox" value="true" >
            </div>
             <div>
                <asp:Label ID="lblInventory" runat="server" Height="10px" Width="80px" Font-Names="Calibri" Font-Size="Small" ></asp:Label>
                <input type="checkbox" value="true" >
                 <asp:Label ID="lblBilling" runat="server" Height="10px" Width="80px" Font-Names="Calibri" Font-Size="Small"  style ="margin-left: 20px"></asp:Label>
                <input type="checkbox" value="true" >
            </div>
            <div>
                <asp:Label ID="lblPostComments" runat="server" Height="10px" Width="200px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                
            </div>
            <div>
                <asp:TextBox ID="tbxPostComments" runat="server"  Height="122px" Width="268px" TextMode ="MultiLine"></asp:TextBox>
            </div>
   
        </div>
      
    </div>
       
    </div>

                 <div>
                       <hr />
                    <asp:Label ID="lblPostData" runat="server" Height="10px"  Font-Names="Calibri" Font-Size="Small" Font-Bold ="true"  Width="100%"></asp:Label>
                       <hr />
                </div>
  
        <div>
            
            <div id="Postcontent2" style =" width : 100% ">
                
                    
               <div style="width : 24%; float :left ;margin-left:3%" class="verticalLine">
                    
                   <div>
                    <asp:Label ID="lblEndtime" runat="server" Height="10px" Width="150px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                    <asp:TextBox ID="tbxEndtime" runat="server"  Height="10px" Width="50px"></asp:TextBox>
                       <asp:Label ID="lblEndUnit" runat="server"  Height="10px" Width="100px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                   </div>
                     <div>
                    <asp:Label ID="lblEndby" runat="server" Height="10px" Width="150px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                         <asp:DropDownList ID="ddlEndby" runat="server" Height="20px" Width="150px"></asp:DropDownList>
                   </div>
                     <div>
                    <asp:Label ID="lblInterrupted" runat="server" Height="10px" Width="150px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                    <asp:TextBox ID="tbxInterrupted" runat="server"  Height="10px" Width="50px"></asp:TextBox>
                         <asp:Label ID="lblInterrUnit" runat="server"  Height="10px" Width="50px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                   </div>
                    <div>
                    <asp:Label ID="lblActualDuration" runat="server" Height="10px" Width="150px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                    <asp:TextBox ID="tbxDuration" runat="server"  Height="10px" Width="50px"></asp:TextBox>
                         <asp:Label ID="lblDurationUnit" runat="server"  Height="10px" Width="50px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                   </div>
                     <div>
                    <asp:Label ID="lblTimeDifference" runat="server" Height="10px" Width="150px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                    <asp:TextBox ID="tbxtimeDiff" runat="server"  Height="10px" Width="50px"></asp:TextBox>
                         <asp:Label ID="lblTimeDiffUnit" runat="server"  Height="10px" Width="50px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                   </div>
                    <div>
                        <asp:Label ID="lblReasonForDec" runat="server"  Height="10px" Width="150px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                        <asp:DropDownList ID="ddlReasonForDec" runat="server" Height="20px" Width="150px" ></asp:DropDownList>
                    </div>
                     <div>
                        <asp:Label ID="lblBloodRetur" runat="server" Height="10px" Width="150px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                        <input type="checkbox" value="true" >
                         <asp:Label ID="lblBloodRetuYes" runat="server"  Height="10px" Width="50px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                        <input type="checkbox" value="true" >
                         <asp:Label ID="lblBloodRetNo" runat="server"  Height="10px" Width="50px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                    </div>
             
                </div>
               <div style="width : 22%; float : left ;margin-left:1%" class="verticalLine">
                  
                   <div>
                    <asp:Label ID="lblDialysisAppr" runat="server" Height="10px" Width="150px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                    <asp:TextBox ID="tbxDialysAppr" runat="server"  Height="10px" Width="50px"></asp:TextBox>
                 
                   </div>
                    <div>
                    <asp:Label ID="lblBledding" runat="server" Height="10px" Width="150px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                    <asp:TextBox ID="tbxBleeding" runat="server"  Height="10px" Width="50px"></asp:TextBox>
                         <asp:Label ID="lblBleedingUnit" runat="server"  Height="10px" Width="50px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                   </div>
                    <div>
                    <asp:Label ID="lblVolBloodLoss" runat="server" Height="10px" Width="150px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                    <asp:TextBox ID="tbxVolBloddLoss" runat="server"  Height="10px" Width="50px"></asp:TextBox>
                         <asp:Label ID="lblBloodLossUnit" runat="server"  Height="10px" Width="50px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                   </div>
                    <div>
                    <asp:Label ID="lblTotalBoold" runat="server" Height="10px" Width="150px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                    <asp:TextBox ID="tbxTotalBlood" runat="server"  Height="10px" Width="50px"></asp:TextBox>
                         <asp:Label ID="lblTotalUnit" runat="server"  Height="10px" Width="50px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                   </div>
                    <div>
                    <asp:Label ID="lblTimeHeparin" runat="server" Height="10px" Width="150px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                    <asp:TextBox ID="tbxctimeHeparin" runat="server"  Height="10px" Width="50px"></asp:TextBox>
                         <asp:Label ID="lbltimeHeparinUnit" runat="server"  Height="10px" Width="50px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                   </div>
                    <div>
                    <asp:Label ID="lblHeparinDil" runat="server" Height="10px" Width="150px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                    <asp:TextBox ID="tbxHeparinDL" runat="server"  Height="10px" Width="50px"></asp:TextBox>
                
                   </div>
                    <div>
                    <asp:Label ID="lblTotalHeparin" runat="server" Height="10px" Width="150px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                    <asp:TextBox ID="tbxTotalHep" runat="server"  Height="10px" Width="50px"></asp:TextBox>
                         <asp:Label ID="lblTotalHepUnit" runat="server"  Height="10px" Width="50px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                   </div>
            
                </div>
               <div style="width : 22%; float : left ;margin-left:1%" class="verticalLine">
                  
                   <div>
                    <asp:Label ID="lblTotalSaline" runat="server" Height="10px" Width="150px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                    <asp:TextBox ID="tbxTotalSaline" runat="server"  Height="10px" Width="50px"></asp:TextBox>
                         <asp:Label ID="lblTSalineUnit" runat="server"  Height="10px" Width="50px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                   </div>
                   <div>
                    <asp:Label ID="lblTotalFluidRemoved" runat="server" Height="10px" Width="150px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                    <asp:TextBox ID="tbxTotFluidRemoved" runat="server"  Height="10px" Width="50px"></asp:TextBox>
                         <asp:Label ID="lblTotalFluidRUnit" runat="server"  Height="10px" Width="50px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                   </div>
                   <div>
                    <asp:Label ID="lblNetUF" runat="server" Height="10px" Width="150px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                    <asp:TextBox ID="tbxNetUF" runat="server"  Height="10px" Width="50px"></asp:TextBox>
                         <asp:Label ID="lblNetUFunit" runat="server"  Height="10px" Width="50px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                   </div>
                   <div>
                    <asp:Label ID="lblVariDryWt" runat="server" Height="10px" Width="150px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                    <asp:TextBox ID="tbxVarDryWt" runat="server"  Height="10px" Width="50px"></asp:TextBox>
               
                   </div>
                   <div>
                    <asp:Label ID="lblVarUF" runat="server" Height="10px" Width="150px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                    <asp:TextBox ID="tbxVarUF" runat="server"  Height="10px" Width="50px"></asp:TextBox>
                 
                   </div>
                   <div>
                    <asp:Label ID="lblKtValue" runat="server" Height="10px" Width="150px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                    <asp:TextBox ID="tbxKtValue" runat="server"  Height="10px" Width="50px"></asp:TextBox>
                
                   </div>
                   <div>
                    <asp:Label ID="lblKtV" runat="server" Height="10px" Width="150px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
                    <asp:TextBox ID="tbxKtV" runat="server"  Height="10px" Width="50px"></asp:TextBox>
                
                   </div>
          
                </div>
               <div style="width : 22%; float : left;margin-left:1% " >
              
                   <div>
                       <asp:Label ID="lblAssessBy" runat="server" Height="10px" Width="150px" Font-Names="Calibri" Font-Size="Small"></asp:Label>

                       <input type="checkbox" value="true" >
                   </div>
                   <div>
                       <asp:DropDownList ID="ddlAssessBy" runat="server" Height="20px" Width="150px"></asp:DropDownList>
                       <input type="date" id="DateAssessBy"/>
                   </div>
                     <div>
                       <asp:Label ID="lblModified" runat="server" Height="10px" Width="150px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
              
                   </div>
                   <div>
                       <asp:DropDownList ID="ddlModified" runat="server" Height="20px" Width="150px"></asp:DropDownList>
                       <input type="date" id="ModifiDate"/>
                   </div>
                     <div>
                        <asp:Label ID="lblSignoff" runat="server" Height="10px" Width="150px" Font-Names="Calibri" Font-Size="Small"></asp:Label>
              
                   </div>
                   <div>
                       <asp:DropDownList ID="ddlSignoff" runat="server" Height="20px" Width="150px"></asp:DropDownList>
               
                   </div>
                   <div>
                       <input type="date" id="datesignoff"/>
                   </div>
                   
                </div>
            </div>
            <hr />
         </div>
   
   
    

   
   
</asp:Content>